MUHAMMET HAMZA HALİL TOPRAK, IBRAHİM CANSARAN TANIDIR
Comprehensive Medicine - 2024;16(2):84-88
INTRODUCTION: Subcutaneous Venous Access Devices (SVADs), commonly known as port catheters, play a crucial role in the monitoring of pediatric patients with chronic diseases requiring long-term treatment. They have become indispensable for children with conditions such as malnutrition, renal insufficiency, and chronic intestinal problems, in addition to oncology patients undergoing chemotherapy. The aim of this study is to present the port catheter procedures performed by the radiological method in our Pediatric Cardiology Department and the methods of dealing with complications. METHODS: The data of 254 pediatric patients who underwent port placement procedures between October 2020 and October 2022 were analyzed retrospectively. The complications and the management strategies were explained. Results: Our clinic conducted the port placement procedure for 254 patients, and the port was successfully placed in 253 patients, resulting in a procedural success rate of 99.6%. The median procedure duration was 30 minutes (IQR 20-40 minutes). The fluoroscopy time was 30 seconds (IQR 18-45 seconds). 15 complications (5.9%) were observed. Except for one complication, none required the removal of the port. DISCUSSION AND CONCLUSION: Port catheters are indispensable in pediatric patients with chronic diseases requiring long-term treatment. Performing port insertion procedures with the support of ultrasound (USG) and fluoroscopy in angiography suites may provide the opportunity to achieve high success rates and low complication rates.
